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INSTRUCTIONS FOR COMPLETING FORM "C": TANK INSTALLATION CERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> 1, Each tank system must be in compliance with the federal and state technical <br /> standards, contained in law and regulations, for tank and piping installation. <br /> 2This certification shall te completed by either the UST owner or representative, <br /> 3, One certification is reritired for each tank system. This form shall be used to <br /> make the required cerd1coati ort, <br /> 4, Please type or print clearly all requested information for printing, please use a <br /> hard point writing Instrument). <br /> 5, Sumnit the completed certification to the appropriate Local Implementing Agency. <br /> L INSTALLATION- MARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br /> ,INSTALLATION REQUIREMENTS ARE MET, <br /> If, OATH: THE TANK OWNER OR AGENT SHALL CERTIFY, BY SIGNING THE <br /> CERTIFICATION, THAT THE INFORMATION PROVIDED IS TRUE AND <br /> CORRECT, THE PETON'S NAME SHOULD BE PRINTED UNDER THE <br /> SIGNATURE. <br />